Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-26T03:07:23.312Z Has data issue: false hasContentIssue false

Chapter 11 - Assessment of Personality Disorder, Psychopathy and Associated Offending Behaviour

Published online by Cambridge University Press:  06 June 2024

Mary Davoren
Affiliation:
Broadmoor Hospital and West London NHS Trust
Harry G. Kennedy
Affiliation:
Trinity College Dublin
Get access

Summary

The assessment of personality disorder (PD) and of associated violent and other criminal behaviour are among the most complex tasks for a forensic psychiatrist. Assessment is complicated by high levels of comorbidity with clinical mental disorders, the high heterogeneity of violent and criminal behaviour, and differing and sometimes conflicting views on how PD should be conceptualised and diagnosed. It therefore requires a high level of diagnostic competence and ability to think flexibly regarding different models of mental disorder and diagnostic approaches.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Freestone, MC, Wilson, K, Jones, R et al. The impact on staff of working with personality disordered offenders: a systematic review. PLoS One 2015; 10 (8): e0136378.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, fifth edition text revision: DSM-5-TR. Arlington, VA, American Psychiatric Association, 2022.Google Scholar
Reed, GM, First, MB, Kogan, CS et al. Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. World Psychiatry 2019; 18 (1): 319.CrossRefGoogle ScholarPubMed
National Collaborating Centre for Mental Health. National Institute for Health and Care Excellence: Guidelines. Borderline Personality Disorder: Treatment and Management. Leicester, The British Psychological Society and The Royal College of Psychiatrists, 2009.Google Scholar
Hare, RD. The Hare Psychopathy Checklist: Revised [PCL-R; manual]. North Tonawanda, NY, Multi-Health Systems, 1991.Google Scholar
Millon, T, Grossman, S. MCMI-IV: Millon Clinical Multiaxial Inventory Manual. Bloomington, IN, NCS Pearson, 2015.Google Scholar
First, M, Gibbon, M, Spitzer, R, Williams, J, Benjamin, L. Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). Washington, DC, American Psychiatric Press, 1997.Google Scholar
Reich, J. Avoidant personality disorder and its relationship to social phobia. Social Anxiety 2010: 207–22.CrossRefGoogle Scholar
Coid, JW, Yang, M, Tyrer, P, Roberts, A, Ullrich, S. Prevalence and correlates of personality disorder in Great Britain. British Journal of Psychiatry 2006; 188: 423–31.CrossRefGoogle ScholarPubMed
Singleton, N, Gatward, R, Meltzer, H. Psychiatric Morbidity among Prisoners in England and Wales. London, Stationery Office, 1998.Google Scholar
Coid, JW, Gonzalez, R, Igoumenou, A et al. Personality disorder and violence in the national household population of Britain. The Journal of Forensic Psychiatry & Psychology 2017; 28 (5): 620–38.CrossRefGoogle Scholar
Hodgins, S. Persistent violent offending: what do we know? The British Journal of Psychiatry 2007; 190 (S49): s12s14.CrossRefGoogle Scholar
Coid, JW, Ullrich, S. Antisocial personality disorder is on a continuum with psychopathy. Comprehensive Psychiatry 2010; 51 (4): 426–33.CrossRefGoogle ScholarPubMed
Howard, R. Personality disorders and violence: what is the link? Borderline Personality Disorder and Emotion Dysregulation 2015; 2 (1): 111.CrossRefGoogle ScholarPubMed
Topalli, V. Offender Decision-Making and Motivation. Oxford, Oxford University Press, 2011.CrossRefGoogle Scholar
Bennett, T, Wright, R. Burglars on Burglary: Prevention and the Offender. Farnham, Gower, 1984.Google Scholar
Wright, R, Decker, S. Burglars on the Job: Streetlife and Residential Break-Ins. Boston, MA, Northeastern University Press, 1996.Google Scholar
Wright, R, Decker, S. Armed Robbers in Action: Stickups and Street Culture. Boston, MA, Northeastern University Press, 1997.Google Scholar
Jacobs, BA, Topalli, V, Wright, R. Managing retaliation: drug robbery and informal sanction threats. Criminology 2000; 38: 171–98.CrossRefGoogle Scholar
Coid, JW. Axis II disorders and motivation for serious criminal behavior. In Skodol, AE (ed.) Psychopathology and Violent Crime. Washington, DC; American Psychiatric Press Inc., 1998, pp. 5397.Google Scholar
Coid, JW. Personality disorders in prisoners and their motivation for dangerous and disruptive behaviour. Criminal Behaviour and Mental Health 2002; 12 (3): 209–26.CrossRefGoogle ScholarPubMed
Beck, AT. Thinking and depression: II. Theory and therapy. Archives of General Psychiatry 1964; 10 (6): 561–71.CrossRefGoogle ScholarPubMed
Beck, A. Depression: Clinical, Experimental, and Theoretical Aspects. New York, Harper & Row, 1972.Google Scholar
Freeman, A, Pretzer, J, Fleming, B, Simon, KM. Clinical Applications of Cognitive Therapy. New York, Springer, 1990.CrossRefGoogle Scholar
Beck, AT, Davis, DD, Freeman, A. Cognitive Therapy of Personality Disorders. London, Guilford Publications, 2015.Google Scholar
Hollon, SD, Kendall, PC, Lumry, A. Specificity of depressotypic cognitions in clinical depression. Journal of Abnormal Psychology 1986; 95 (1): 52.CrossRefGoogle ScholarPubMed
MacLeod, C, Mathews, A, Tata, P. Attentional bias in emotional disorders. Journal of Abnormal Psychology 1986; 95 (1): 15.CrossRefGoogle ScholarPubMed
Mathews, A, MacLeod, C. Discrimination of threat cues without awareness in anxiety states. Journal of Abnormal Psychology 1986; 95 (2): 131.CrossRefGoogle ScholarPubMed
Zwemer, WA, Deffenbacher, JL. Irrational beliefs, anger, and anxiety. Journal of Counseling Psychology 1984; 31 (3): 391.CrossRefGoogle Scholar
Groth, A. with Birnbaum, HJ. Men Who Rape. New York, Plenum Press, 1979.CrossRefGoogle Scholar
Robins, LN. Deviant Children Grown Up: A Sociological and Psychiatric Study of Sociopathic Personality. Baltimore, MD, Williams and Wilkins, 1966.Google Scholar
Hare, EH, Wing, JK. Psychiatric Epidemiology: Proceedings of the International Symposium Held at Aberdeen University 22–25 July, 1969. New York, Oxford University Press, 1970.Google Scholar
Robins, LN. Sturdy childhood predictors of adult antisocial behaviour: replications from longitudinal studies. Psychological Medicine 1978; 8 (4): 611–22.CrossRefGoogle ScholarPubMed
Moffitt, TE. Life-course-persistent and adolescence-limited antisocial behavior: a developmental taxonomy. Psychological Review 1993; 100 (4): 674701.CrossRefGoogle ScholarPubMed
Coid, JW. Formulating strategies for the primary prevention of adult antisocial behaviour: ‘high risk’ or ‘population’ strategies. Early Prevention of Adult Antisocial Behaviour 2003: 3278.CrossRefGoogle Scholar
Coid, J. The co-morbidity of personality disorder and lifetime clinical syndromes in dangerous offenders. Journal of Forensic Psychiatry & Psychology 2003; 14 (2): 341–66.CrossRefGoogle Scholar
Coid, J, Yang, M, Bebbington, P et al. Borderline personality disorder: health service use and social functioning among a national household population. Psychological Medicine 2009; 39 (10): 1721–31.CrossRefGoogle ScholarPubMed
Coid, JW. An affective syndrome in psychopaths with borderline personality disorder? The British Journal of Psychiatry: The Journal of Mental Science 1993; 162: 641–50.CrossRefGoogle ScholarPubMed
Salman Akhtar, M, Thomson, JA. Overview: Narcissistic personality disorder. The American Journal of Psychiatry 1982; 139 (1): 1220.Google Scholar
Kernberg, OF. Borderline Conditions and Pathological Narcissism. New York, Jason Aronson, 1975.Google Scholar
Katz, J. Seductions of Crime: Moral and Sensual Attractions in Doing Evil. New York, Basic Books, 1988.Google Scholar
Wilson, A. Levels of adaptation and narcissistic psychopathology. Psychiatry 1989; 52 (2): 218–36.CrossRefGoogle ScholarPubMed
Kohut, H. Thoughts on narcissism and narcissistic rage. The Psychoanalytic Study of the Child 1972; 27 (1): 360400.CrossRefGoogle Scholar
Rosen, I. Self-esteem as a factor in social and domestic violence. The British Journal of Psychiatry 1991; 158 (1): 1823.CrossRefGoogle ScholarPubMed
Glasser, M. Aggression and sadism in the perversions. In Rosen, I (ed.) Sexual Deviation (3rd ed.). Oxford, Oxford University Press, 1996, pp. 279–99.Google Scholar
Cleckley, HM. The Mask of Sanity: An Attempt to Clarify Some Issues about the So-Called Psychopathic Personality. St Louis, MO, Mosby, 1941.Google Scholar
Hare, RD. Hare Psychopathy Checklist: Revised. Toronto, Multi-Health Systems, 1991.Google Scholar
Coid, J, Yang, M. The impact of psychopathy on violence among the household population of Great Britain. Social Psychiatry and Psychiatric Epidemiology 2011; 46: 473–80.CrossRefGoogle ScholarPubMed
Coid, J, Yang, M, Ullrich, S, Roberts, A, Hare, RD. Prevalence and correlates of psychopathic traits in the household population of Great Britain. International Journal of Law and Psychiatry 2009; 32 (2): 6573.CrossRefGoogle ScholarPubMed
Coid, J, Yang, M, Ullrich, S et al. Psychopathy among prisoners in England and Wales. International Journal of Law and Psychiatry 2009; 32 (3): 134–41.CrossRefGoogle ScholarPubMed
Shover, N. Great Pretenders: Pursuits and Careers of Persistent Thieves. Boulder, CO, Westview, 1996.Google Scholar
Hare, RD. Manual for the Revised Psychopathy Checklist. Toronto, ON, Multi-Health Systems, 2003.Google Scholar
Hare, RD, Jutai, JW. Psychopathy and cerebral asymmetry in semantic processing. Personality and Individual Differences 1988; 9 (2): 329–37.CrossRefGoogle Scholar
Porter, S, Woodworth, M, Black, PJ. Psychopathy and aggression. In Patrick, CJ (ed.) Handbook of Psychopathy, 2nd ed. New York, Guilford Press, 2019, pp. 481–94.Google Scholar
Meloy, JR. The Psychopathic Mind: Origins, Dynamics, and Treatment. Lanham, MD, Rowman & Littlefield, 1988.Google Scholar
Cooper, BS, Yuille, JC. Psychopathy and Deception: The Psychopath. London, Routledge, 2017, pp. 487503.Google Scholar
Blair, RJR. Responding to the emotions of others: dissociating forms of empathy through the study of typical and psychiatric populations. Consciousness and Cognition 2005; 14 (4): 698718.CrossRefGoogle Scholar
Blair, RJR. The amygdala and ventromedial prefrontal cortex in morality and psychopathy. Trends in Cognitive Sciences 2007; 11 (9): 387–92.CrossRefGoogle ScholarPubMed
Buckholtz, JW, Treadway, MT, Cowan, RL et al. Mesolimbic dopamine reward system hypersensitivity in individuals with psychopathic traits. Nature Neuroscience 2010; 13 (4): 419–21.CrossRefGoogle ScholarPubMed
Schirmann, F.The wondrous eyes of a new technology’: a history of the early electroencephalography (EEG) of psychopathy, delinquency, and immorality. Frontiers in Human Neuroscience 2014; 8: 232.CrossRefGoogle ScholarPubMed
Konicar, L, Radev, S, Silvoni, S et al. Balancing the brain of offenders with psychopathy? Resting state EEG and electrodermal activity after a pilot study of brain self-regulation training. Plos One 2021; 16 (1): e0242830.CrossRefGoogle ScholarPubMed
Herpertz, SC, Werth, U, Lukas, G et al. Emotion in criminal offenders with psychopathy and borderline personality disorder. Archives of General Psychiatry 2001; 58 (8): 737–45.CrossRefGoogle ScholarPubMed
Hare, RD. Psychopathy: Theory and Research. New York, Wiley, 1970.Google Scholar
Hill, D. Amphetamine in psychopathic states. British Journal of Addiction to Alcohol & Other Drugs 1947; 44 (2): 50–4.CrossRefGoogle ScholarPubMed
Douglas, JE, Burgess, AW, Burgess, AG, Ressler, RK. Crime Classification Manual: A Standard System for Investigating and Classifying Violent Crime. New York, John Wiley & Sons, 2013.Google Scholar
MacCulloch, MJ, Snowden, PR, Wood, PJ, Mills, HE. Sadistic fantasy, sadistic behaviour and offending. British Journal of Psychiatry 1983; 143: 20–9.CrossRefGoogle ScholarPubMed
World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic Criteria for Research. Geneva, World Health Organization, 1993.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×